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FREE EKG Certification MCQ Question and Answers Flashcards

6 cards from real EKG certification Certification practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

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  1. A patient presents with a sawtooth pattern on EKG at a rate of approximately 300 bpm in the atria. What is the most likely rhythm?

    Answer: Atrial flutter

    Atrial flutter characteristically produces a sawtooth pattern of flutter waves at an atrial rate near 300 bpm, typically with a ventricular response around 150 bpm.

  2. Which EKG finding indicates Wolff-Parkinson-White (WPW) syndrome?

    Answer: Delta waves with shortened PR interval

    WPW syndrome is identified by a delta wave (slurred upstroke of the QRS), a shortened PR interval, and a widened QRS complex due to an accessory pathway.

  3. What is the correct placement for precordial lead V4?

    Answer: Fifth intercostal space, midclavicular line

    Lead V4 is placed at the fifth intercostal space at the left midclavicular line.

  4. A wide-complex tachycardia at 180 bpm with AV dissociation is most consistent with which diagnosis?

    Answer: Ventricular tachycardia

    AV dissociation in the setting of a wide-complex tachycardia is a strong indicator of ventricular tachycardia rather than SVT with aberrancy.

  5. Which artifact on an EKG is most commonly caused by patient movement or shivering?

    Answer: Muscle tremor artifact

    Muscle tremor artifact produces a fine, irregular baseline distortion caused by skeletal muscle contractions from shivering or tension.

  6. On a standard 12-lead EKG, what does a pathological Q wave indicate?

    Answer: Prior myocardial infarction

    Pathological Q waves (greater than one-third the height of the R wave or wider than 0.04 seconds) indicate prior myocardial necrosis from a previous infarction.